Connecticut Association of Health Care Facilities

 [ Home ] [ Up ] [ Survey Medicaid Update ] [ Survey CT DPH Surveys ]
 

Survey - Medicaid Pending / Medicaid Pay-Start Issues Update

Please take the very brief survey below and let us know if things are 1) Better, 2) Worse or 3) Same since DSS stated that they would address our concerns on Medicaid Pending / Medicaid Pay-Start Issues.

PLEASE COMPLETE FOR EACH INDIVIDUAL FACILITY IN YOUR GROUP.  ONE OF THE THINGS WE ARE TRYING TO DETERMINE IS IF CERTAIN DSS REGIONAL OFFICES ARE TRYING HARDER THAN OTHERS TO RESOLVE YOUR PROBLEMS.

Questions?  Contact Rick at the Association at 860-290-9424; RBrown@cahcf.com.

Thank you. 

Individual Facility Name

 
Name of Person Reporting the Information

 
DSS Regional Office (indicate City)

 
Medicaid pending issues (Medicaid application filed; not being paid); CHECK ONLY ONE
 
          Better  
 
          Worse  
 
          Same  
 
Medicaid pay-start issues (valid Medicaid bill number; not being paid); CHECK ONLY ONE
 
          Better  
 
          Worse  
 
          Same
 

Have you seen any improvement at all?  Please comment and give examples.

Thank you.

   

If you're getting an Error Message when clicking on Send, try holding down the CTRL key, then clicking on Send. 
If all else fails, print out this completed form and fax it to 860-290-9478.